Literature DB >> 26673613

Green Urine Due to Propofol: A Case Report with Review of Literature.

Gautam Rawal1, Sankalp Yadav2.   

Abstract

The change in the colour of urine is a known occurrence in an intensive care setting and is always a cause of concern to the clinicians who have to differentiate between benign and pathological causes. Herein, we present a case of 62-year-old postoperative lady, noticed to be passing green coloured urine believed to be due to intravenous Propofol administration for induction of general anaesthesia. The green colour of urine due to Propofol occurs when clearance of Propofol exceeds hepatic elimination, and extrahepatic elimination of Propofol occurs. This discolouration of urine is a rare (less than 1% cases) but a benign side effect of Propofol, which is non-nephrotoxic and gets reversed after discontinuation of the drug.

Entities:  

Keywords:  Anaesthesia; Drug side effect; Urine discoloration

Year:  2015        PMID: 26673613      PMCID: PMC4668454          DOI: 10.7860/JCDR/2015/15681.6706

Source DB:  PubMed          Journal:  J Clin Diagn Res        ISSN: 0973-709X


  9 in total

1.  Propofol induction resulting in green urine discoloration.

Authors:  David W Barbara; Francis X Whalen
Journal:  Anesthesiology       Date:  2012-04       Impact factor: 7.892

2.  Clinical significance of rare and benign side effects: propofol and green urine.

Authors:  S A Blakey; J A Hixson-Wallace
Journal:  Pharmacotherapy       Date:  2000-09       Impact factor: 4.705

3.  Grass-green urine from propofol infusion.

Authors:  A B Pedersen; T K Kobborg; J R Larsen
Journal:  Acta Anaesthesiol Scand       Date:  2014-11-14       Impact factor: 2.105

4.  Abnormal urine color: differential diagnosis.

Authors:  J R Raymond; W E Yarger
Journal:  South Med J       Date:  1988-07       Impact factor: 0.954

5.  Why was the urine green?

Authors:  C Ananthanarayan; J A Fisher
Journal:  Can J Anaesth       Date:  1995-01       Impact factor: 5.063

Review 6.  Propofol. An update of its use in anaesthesia and conscious sedation.

Authors:  H M Bryson; B R Fulton; D Faulds
Journal:  Drugs       Date:  1995-09       Impact factor: 9.546

7.  Propofol-related urine discoloration in a patient with fatal atypical intracerebral hemorrhage treated with hypothermia.

Authors:  Martin Regensburger; Hagen B Huttner; Arnd Doerfler; Stefan Schwab; Dimitre Staykov
Journal:  Springerplus       Date:  2014-09-23

8.  A case of green urine after ingestion of herbicides.

Authors:  Yun-Suk Shim; Hyo-Wook Gil; Jong-Oh Yang; Eun-Young Lee; Soo-Hyun Kim; Sae-Yong Hong
Journal:  Korean J Intern Med       Date:  2008-03       Impact factor: 3.165

9.  Green Urine Discoloration due to Propofol Infusion: A Case Report.

Authors:  Nobuki Shioya; Yoriko Ishibe; Shigehiro Shibata; Hideyuki Makabe; Shigenori Kan; Naoya Matsumoto; Gaku Takahashi; Yasuhiko Yamada; Shigeatsu Endo
Journal:  Case Rep Emerg Med       Date:  2011-12-27
  9 in total
  2 in total

1.  Analgosedation of adult patients with elevated intracranial pressure : Survey of current clinical practice in Austria.

Authors:  Guenther Herzer; Claudia Mirth; Udo M Illievich; Wolfgang G Voelckel; Helmut Trimmel
Journal:  Wien Klin Wochenschr       Date:  2017-07-21       Impact factor: 1.704

Review 2.  Metabolic Profiles of Propofol and Fospropofol: Clinical and Forensic Interpretative Aspects.

Authors:  Ricardo Jorge Dinis-Oliveira
Journal:  Biomed Res Int       Date:  2018-05-24       Impact factor: 3.411

  2 in total

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